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Organization
MODENA ALLERGY & ASTHMA INC.
Active
Organization
MODENA ALLERGY & ASTHMA INC.
Active
Other names
Modena Allergy & Asthma
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D MODENA MD, MSC (DIRECTOR & SECRETARY)
(412) 689-0636
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE STE 710, LA JOLLA, CA 92037-1218
(858) 283-3963
(858) 332-1811
Mailing address
9850 GENESEE AVE STE 710, LA JOLLA, CA 92037-1218
(858) 283-3963
(858) 332-1811
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
NULL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
NULL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
NULL
2080P0214X
Pediatric Pulmonology Physician
—
—
Other
Enumeration date
01/10/2022
Last updated
09/09/2025
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